| NPI | 1700409703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036165348) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014641) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-08-01 |